Kyle Hiromi Hatanaka, LAC - Acupuncturist in Boise, ID

Kyle Hiromi Hatanaka, LAC is a Acupuncturist based in Boise, Idaho. Kyle Hiromi Hatanaka is licensed to practice in * (Not Available) (license number ) and his current practice location is 9450 #120 Fairview Avenue, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (530) 515-1064.

NPI number for Kyle Hiromi Hatanaka is 1053960286 and his current mailing address is 5112 Ne 47th Pl, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053960286.

Contact Information

Kyle Hiromi Hatanaka, LAC
9450 #120 Fairview Avenue,
Boise, ID 83704
(530) 515-1064
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKyle Hiromi Hatanaka
GenderMale
SpecialityAcupuncturist
Location9450 #120 Fairview Avenue, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053960286
  • Provider Enumeration Date: 09/10/2019
  • Last Update Date: 09/10/2019

Medical Identifiers

Medical identifiers for Kyle Hiromi Hatanaka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053960286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Hiromi Hatanaka is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyle Hiromi Hatanaka, LAC
5112 Ne 47th Pl,
Portland, OR 97218-2066

Ph: (530) 515-1064
Kyle Hiromi Hatanaka, LAC
9450 #120 Fairview Avenue,
Boise, ID 83704

Ph: (530) 515-1064

Reviews and Comments


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